VAERS ID: 1788461

AGE: 13| SEX: M|STATE: FL (United States)

Description

Chest pain that began the morning of 10/15, resolved with ibuprofen. admitted to the hospital for further evaluation

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Symptoms

Chest pain, Troponin increased

Vaccines

VAX DATE: 10-11-2021| ONSET DATE: 10-15-2021| DAYS TO ONSET: 4
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FH8020 IM

RECVDATE:10-15-2021
RPT_DATE:
CAGE_YR:13
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:1
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Troponin elevated to 4.680, ECHO pending
V_ADMINBY:PHM
OTHER_MEDS:Hydroxyzine, Guanfacine, Quillichew
CUR_ILL:
HISTORY:Autism
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-15-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:NKA
V_FUNDBY:

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